for anticoagulation what can be used in hospital or at home,long /short term,route of administration/ease,monitoring,cost etc
If you are in the hospital you will be on IV heparin unless you have a reaction to heparin. Typically you will be released on warfarin once you reach an INR between 2.0-3.0. However, you will need to be tested on a regular basis to ensure that you stay within the therapeutic range of 2.0-3.0. You could choose Arixtra or Lovenox in lieu of Warfarin. They are administered subcutaneously. This would allow you to eat what you want without having to test on a more regular basis and adjusting your dose. Typically most people who are on Warfarin do not stay within the range every day and in some people this can cause additional problems. Both Arixtra and Lovenox have generic forms; however the Lovenox molecule has not been completely mapped so I would stick with the brand or use the Arixtra. If you will be on this long term then the Arixtra is the better option as it does not effect bone density like heparin. You need to check with your insurance carrier to compare costs. The 90-day supply of generic Arixtra is similar in cost to Warfarin. I would wait awhile before using Pradaxa, no reversal agent, or Xarelto.
Do you know why you got the DVT? What blood tests have they done? Are you talking with a Hematologist?
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